HYSTERECTOMY

A hysterectomy is the surgical removal of the uterus. Depending upon other factors, sometimes a hysterectomy may also include removal of the ovaries and cervix. This surgery is usually performed when more conservative treatment measures are unsuccessful.

Some of the reasons for a hysterectomy include:

Uterine fibroids

Endometriosis

Uterine prolapse

Pelvic adhesions

Persistent pain or bleeding

Cancer

Hysterectomies can be performed through several different methods. We determine the best surgical procedure for you based on the reason for the surgery, amount of pathology and preferences of the patient. Ultimately, we want to give you the best care.

Most hysterectomies can now be performed

laparoscopically, which utilizes very small incisions.

An open abdominal hysterectomy uses larger incisions which will increase hospital stay and recovery time.

A vaginal hysterectomy is one completely through the vagina and has no abdominal incisions. It is often used for women suffering from prolapse or relaxation of the vaginal or pelvic organs.
A hysterectomy is also classified by how much of the reproductive area is removed.

A total hysterectomy removes the uterus and cervix, and may remove the ovaries and fallopian tubes as well.

A subtotal hysterectomy or supracervical hysterectomy, removes the uterus but leaves the cervix, which may decrease potential risks, may help retain natural pelvic support and may play a role in sexual functioning.

Your doctor will help you decide which option is ideal for you.

Removal of your uterus will not cause you to go in to menopause as long as your ovaries are left in place. You will no longer have menstrual periods, but as long as your ovaries are retained they are still producing estrogen in your body. You are still at risk for ovarian cancer so you will still require regular annual exams and
If your cervix is left in place, you will still need regular pap smears to screen for cervical cancer depending upon your age and risk factors

While a hysterectomy is generally considered safe, there are certain risks involved as with any other surgical procedure. Some risks of a hysterectomy include blood loss, need for blood transfusion, bowel or bladder injuries, infections, or problems with anesthesia. Your doctor can help you decide which option is best for you and if you may benefit from this surgery.